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Datasets

  • Incident Report

    List of monthly incidents that could impact program operations such as website and call center outages, operations error, PII/PHI incidents

  • Health Benefits Data File (HBDF)

    Enrollment report

  • Headcount/CFO Report

    Aggregate payroll data from CFO system

  • Headcount

    Payroll information pertaining to Federal employees with Health and/or Life insurance accounts

  • Funded Status Report

    FLTCIP Experience Fund balance with future projected value and current actuarial assumptions

  • Fraud Waste and Abuse Annual Report

    The FWA report includes specific data requirements such as reporting the number of fraud and abuse cases, amount of losses, recoveries, and savings and types of fraudulent schemes.

  • Fraud Report

    Contractor fraud Foundational strategy, on-going anti-fraud efforts, cases investigated and cases sent to OIG.

  • Fraud and Abuse Report

    Overpayments by number of participants and by dollar amount, sorted by organization responsible for overpayment, with amount recovered.

  • Formularies

    Formulary files coposed of drug lists and cost sharing for formulary tiers

  • Forfeiture Report

    Current unspent funds in participants’ accounts, by account type and by agency

  • FEHB Rate Development Data

    Rate development data provided by carriers to set premiums

  • FEHB Premium Data

    FEHB plan premium

  • FDIS Reports

    Enrollment and Premium Reports

  • Enrollment Report

    Number of enrollments by account type by agency (daily during each Open Season, weekly thereafter)

  • Email Sample Report

    Weekly Sample of reviewed emails with review score and reasons.

  • Deliverables Log

    Progress on action items requested by OPM

  • Contractor Separation Report

    Contractor Report of Separated and New Staff with access to OPM’s Annuity Lookup Tool

  • Cashflow Report

    Inputs to and outlays from the claims reimbursement account, with projected days on hand of cash available to pay claims (weekly, and daily during the peak period of March 1st...

  • BP/Rate Submission Tool (RST)

    Health Insurance data about claims and usage to help determine what rates should be in the future

  • BP/QA

    Captures measurements of standards i.e. Call Answer Timeliness, Claims Coding Accuracy, Claims Processing Accuracy, Claims Timeliness